Primary malignant melanoma of the esophagus is extremly rare. Less tha
n 200 cases have been published worldwide up to now. We report a case
of a 65-years old male suffering from dysphagia for four months. The e
ndoscopy showed a polypoidal tumor of black colour in the distal part
of the esophagus. The histological diagnosis of the initial biopsy spe
cimen was melanoma. Partial esophagectomy and lymph node sampling were
performed. The resected specimen showed a polypoid tumor with black p
igmentation of 8 x 5 x 3 centimeter. Histopathology revealed a primary
malignant melanoma of the esophagus stage pT2 pN1 MO and grading thre
ee. The patient died 8 months after resection from general metastatic
disease. Age, sex, symptoms, duration of symptoms and time of survival
are similar as described in former cases.